Step Down RN
Baltimore, MD
Access Healthcare
3x12 hrs, Nights

RN Step Down

• Location: Milwaukee, Wisconsin
• Employment type: LTA
• Contract length: 13 to 26 weeks
• Shift: 19:00 - 07:30
• Schedule: EOW; EOH

Assignment and Float

• Placed on a PCU or Med/Surg/Tele unit, based on where the greatest need is and the traveler's skills.
• Accepts an M/S or Step Down RN. Both skills use the same credentialing.
• Floats onsite within skill set, or to sites within 40 miles if needed.

Required Qualifications

• Valid RN license in Wisconsin
• 2 years of Stepdown experience
• Stepdown experience within the last year
• 2 years PCU / Med-Surg Telemetry Acute Care experience
• One completed travel assignment
• BLS issued by American Heart Association
• ACLS issued by American Heart Association
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• Driver's License

Licensure and Certifications

• Current license with primary source verification, completed within 30 days prior to start of assignment
• Nursys verification, completed within 30 days prior to start
• Disciplinary actions questionnaire, if applicable, uploaded with board documents and verification
• BLS certification from AHA
• ACLS certification from AHA
• NIH certification: Group A updated yearly; Groups B-F updated every 2 years

Testing and Competencies

• Specialty exam: completed before first assignment, updated every 3 years, minimum 80% or national benchmark, 2 attempts
• Core competencies (HIPAA, Joint Commission, NPSG, OSHA topics): completed within 1 year of start, updated every 3 years, minimum 80% or national benchmark, 2 attempts
• EKG exam: minimum 80% passing score, 2 attempts, updated every 3 years. Answers must be visibly marked, and the agency grades and uploads it with the score and traveler's e-signature and date.
• Clinical skills checklist: completed within 1 year of start, updated annually for specialty
• Color vision: completed before start, updated every 3 years
• Pre-hire modules for Nova StatStrip: completed before clearance, required annually
• Nursing contract worker onboarding: completed onsite

Health and Immunizations

• Health statement or completed physical exam before first assignment, updated annually
• Fit test: required for all travelers, preferred before start and can be completed onsite, updated annually. PAPR is not completed onsite. WI requires 3M 1860 Regular, 3M 1860 Small, or 3M 1870+.
• MMR: documented proof of two doses or positive IgG titer. No declinations accepted. If titer is negative, two doses four weeks apart.
• Varicella: documented proof of two doses, serological immunity, or verified history of varicella or herpes zoster. If negative, two doses four weeks apart. No declinations accepted.
• Hepatitis B: documentation of 3-vaccine series or a signed and dated declination
• Influenza vaccine: exemptions and declinations accepted, but candidate must wear a mask at all times. Flu season runs October 1, 2026 through March 31, 2027.
• TB: 2-step PPD (first within 1 year, second within 30 days of start) or negative IGRA within 90 days of start. TB questionnaire updated annually. If positive, proof of chest X-ray within the last year is required with the questionnaire.
• Tdap: valid 10 years from administration date. No declinations or attestations accepted.
• 11-panel drug screen: completed within 30 days before first assignment, updated annually. Retesting is required after a break in service over 90 days. MRO review is included for prescriptions or negative-dilute results.

Onboarding and Background

• Driver's license or state ID: not expired, must match address on file, front and back shown. For a compact license, the address must match the home state.
• Resume or profile
• 2 professional references, completed before first assignment
• Education verification: completed within 90 days of start. Official transcripts are required if verification fails. Diplomas are not accepted.
• Employment verification: third-party verification for the past 7 years, matching the resume or profile
• Criminal background check: SSN trace, OIG, and National Sex Offender searches; 7-year SSN trace, county residence and employment search, national criminal search, OFAC, and VOSP completed within 90 days of first assignment, then updated every year
• EPLS check: completed within 90 days of start
• Confirmation of assignment on agency letterhead, provided at initial assignment and each extension
• Badge photo: forward-facing headshot with white or blue background, no alterations or filters
• Education attestation from the pre-hire 6-hour onboarding, uploaded by the agency once completed

Optional

• Unit-specific checklist: optional for onboarding, but must be uploaded by the unit leader within 1 week
• Legal name change document